NURSING HEALTH ASSESSMENT 3rd Edition By Dillon
NURSING HEALTH ASSESSMENT 3rd Edition By Dillon
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Chapter 21: Approach to the Mental Health Assessment
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is providing care to an older adult patient who is experiencing sudden onset of recent memory loss after a surgical procedure. Which diagnosis does the nurse anticipate for this patient?
| 1) | Delirium |
| 2) | Dementia |
| 3) | Depression |
| 4) | Anxiety |
____ 2. The nurse is admitting an older adult patient to the emergency department (ED) with a change in mental status with recent and remote memory loss. The family tells the nurse the patient’s forgetfulness has gotten progressively worse over the past 6 months. Which diagnosis does the nurse anticipate for this patient?
| 1) | Delirium |
| 2) | Dementia |
| 3) | Depression |
| 4) | Anxiety |
____ 3. The nurse is conducting a health maintenance assessment for a patient who lost a spouse 2 months ago. The patient’s adult child states, “My mom’s behavior has changed since we lost my dad. She seems forgetful and confused at times. It seems to be worse in the morning.” Based on this data, which diagnosis does the nurse anticipate?
| 1) | Delirium |
| 2) | Dementia |
| 3) | Depression |
| 4) | Grief |
____ 4. The nurse is performing a depression screening on an older adult patient. The patient scored 13 on the Geriatric Depression Scale (GDS). Which interpretation of this score by the nurse is accurate?
| 1) | This is a normal finding. |
| 2) | This indicates mild depression. |
| 3) | This indicates moderate depression. |
| 4) | This indicates severe depression. |
____ 5. The mental health clinic nurse is assessing an adult patient who reports depression. Which medication noted in the patient’s history could be the cause for the current depression?
| 1) | Beta blockers |
| 2) | Amphetamines |
| 3) | Monoamine oxidase (MAO) inhibitors |
| 4) | Levodopa |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 21, Approach to the Mental Health Assessment
Chapter learning objective: N/A
Chapter page reference: 531
Integrated Processes: Nursing Process: Evaluation
Client Need: Psychosocial Integrity
Cognitive level: Comprehension [Understanding]
Concept: Cognition
Difficulty: Easy
| Feedback | |
| 1 | A sudden onset of memory loss is associated with delirium. |
| 2 | Dementia is associated with a gradual onset of memory loss. |
| 3 | Depression is associated with variable memory loss. |
| 4 | Anxiety may or may not be associated with memory loss. |
PTS: 1 CON: Cognition
Chapter number and title: 21, Approach to the Mental Health Assessment
Chapter learning objective: N/A
Chapter page reference: 531
Integrated Processes: Nursing Process: Evaluation
Client Need: Psychosocial Integrity
Cognitive level: Comprehension [Understanding]
Concept: Cognition
Difficulty: Easy
| Feedback | |
| 1 | A sudden onset of memory loss is associated with delirium. |
| 2 | Dementia is associated with a gradual onset of memory loss. |
| 3 | Depression is associated with variable memory loss. |
| 4 | Anxiety may or may not be associated with memory loss. |
PTS: 1 CON: Cognition
Chapter number and title: 21, Approach to the Mental Health Assessment
Chapter learning objective: N/A
Chapter page reference: 531
Integrated Processes: Nursing Process: Evaluation
Client Need: Psychosocial Integrity
Cognitive level: Comprehension [Understanding]
Concept: Mood
Difficulty: Easy
| Feedback | |
| 1 | A sudden onset of memory loss is associated with delirium. |
| 2 | Dementia is associated with a gradual onset of memory loss. |
| 3 | Depression can occur after the loss of a spouse and is associated with variable memory loss. |
| 4 | Although the patient is experiencing grief, the variable memory loss does not support the diagnosis of grief by itself. |
PTS: 1 CON: Mood
Chapter number and title: 21, Approach to the Mental Health Assessment
Chapter learning objective: N/A
Chapter page reference: 533
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Application [Applying]
Concept: Mood
Difficulty: Moderate
| Feedback | |
| 1 | A GDS score of 0 to 4 is normal. |
| 2 | A GDS score of 5 to 8 indicates mild depression. |
| 3 | A GDS score of 8 to 11 indicates moderate depression. |
| 4 | A GDS score of 12 to 15 indicates severe depression. |
PTS: 1 CON: Mood
Chapter number and title: 21, Approach to the Mental Health Assessment
Chapter learning objective: N/A
Chapter page reference: 538
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Comprehension [Understanding]
Concept: Mood, Medications
Difficulty: Easy
| Feedback | |
| 1 | A side effect associated with beta blockers is depression. |
| 2 | A side effect associated with amphetamines is a psychotic reaction. |
| 3 | A side effect associated with MAO inhibitors is a manic reaction. |
| 4 | A side effect associated with levodopa is a manic reaction. |
PTS: 1 CON: Mood | Medications
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